Senior Health Insurance Benefits Assistance Program Publications & Forms

Text Size: A+ A- A • Text Only

Senior Health Insurance Benefits Assistance Program

Department

Publications & Forms

SHIBA Publications & Forms (General)

Volunteer Forms

Prescription Drug Information


SHIBA Publications & Forms (General)

Publications order form Speaker request form SHIBA Exercise your brain poster.pdf Are you ready for Medicare? (.pdf) Don't wait until you're 65! A general information brochure about Medicare for baby boomers. Part D Extra Help Flyer (.pdf) Page 1 in English, Page 2 in Spanish 2012 Oregon Guide to Medigap, Medicare Advantage, and Prescription Drug Plans Compares Medigap, Medicare Advantage Plans, and Medicare Part D plans (pdf). To view the Guide in an "open book" style on our computer screen: Download and open the Guide in your Acrobat Reader. Click on “View” at the top of your computer screen. Click on “Page Display” in the View’s drop down menu. Click on “Two-Up” or “Two-Up Continuous” Click on “View” again, and click on “Page Display” again, and then Click on “Show Cover Page During Two-Up”. To see a screen-shot of the selections in the “View” menu, click here. Free help with Medicare Information and Prescription Drug Plans (.pdf) A list of organizations by county that help people with Medicare make better health insurance decisions. Identifies volunteer assistance and volunteer opportunities. Ayuda Gratuita para Medicare y Cobertura de Recetas Médicas (.pdf) Una lista de organizaciones locales que le ayudan a beneficiarios de Medicare hacer mejores decisiones en cuanto a seguro para la salud. State health resource flyer .pdf New to Medicare.pdf Your Medicare benefits.pdf Are you ready for Medicare?.pdf If your Medicare Advantage plan ends: Your options.pdf


Volunteer Forms

Volunteer application: online version or .pdf Confidentiality and conflict of interest statements: Sponsors and coordinators .pdf Volunteer counselors .pdf


Prescription Drug Information

Prescription Drug Tracker .pdf Who is eligible for extra help with Medicare Rx? .pdf How to Enroll in Medicare Prescription Drug Coverage (Part D) Flowchart .pdf

Page updated: February 02, 2012